Exclusive breastfeeding means no other liquid or solid food is given, not even water.

But are there any situations where a baby may need water?

Exclusively Breastfed Babies Don’t Need Water

Babies who are exclusively breastfed and are feeding well do not need any extra fluids such as water, even in hot and humid weather. Feeding a baby when she shows feeding cues helps ensure she gets all the breastmilk she needs which will keep her adequately hydrated.

During hot weather it is common for babies to want to have more frequent but shorter breastfeeds. In this way, she gets more of the thirst-quenching, lower-fat milk more often.

Giving an exclusively breastfed baby any additional fluids can reduce her appetite for breastmilk and hence potentially lower her mother’s milk supply.

What About After The Introduction Of Solids?

Giving a breastfed baby water after the introduction of solids is not absolutely necessary as long as she has an unrestricted number of breastfeeds (i.e. is fed according to her individual needs).

However, some mothers like their baby to get used to drinking from a cup. They may offer a small amount of water from a cup at the same time as solids are given. This might also help baby to associate meal times with drinking water as opposed to any other drinks. But if you prefer, you could also express breastmilk into a cup.

Formula Fed Babies May Need Water

According to the NHMRC, “For formula-fed infants, cooled boiled tap water may be used if additional fluids are needed.”

This may be necessary, for example, if a formula fed baby is constipated.

However, it is important to seek medical advice before giving a young baby any water. This is because it can be potentially dangerous to give a young infant water.

Why Giving Water Could Be Dangerous

Since a young baby’s kidneys are immature, they cannot handle water, and can quickly become over hydrated when given water or diluted formula. For this reason, young babies are susceptible to water intoxication if given water.

Be sure to check with a healthcare provider before offering water for constipation or any other concerns.

For more information on adding water to breastmilk or formula, see here.

What About Other Fluids?

Breastmilk or infant formula should be a baby’s main drink in the first 12 months.

While small amounts of cows’ milk may be given to a baby over the age of about 6 months (e.g. on cereal), it should not be given as a drink until after 12 months due to the risk of iron deficiency.

Fruit juices should not be given to babies under 12 months of age, and should not be considered as a replacement for fruit at any age. Sweetened drinks, such as fruit juices, contain a great deal of sugar, are associated with tooth decay.

…

For the first 6 months, exclusively breastfeeding or formula feeding is advised. If your baby is formula-fed, you can discuss small amounts of water with your healthcare provider if you believe it might be necessary. During the first 12 months, be sure to keep breastmilk or formula as their primary drink.

This ensures they are getting adequate nutrition and lessens their risk of iron deficiency.

Grandparents, aunts and even healthcare providers not up-to-date with current recommendations, might suggest offering water. It can be hard to navigate what seems like a constant flow of conflicting advice, but following evidenced based information can help you make informed choices that you are comfortable with. If you are exclusively breastfeeding and your baby is under six months, avoiding water is the current recommendation.

172

Shares

Related Articles

Renee Kam IBCLCCONTRIBUTOR

Renee Kam is mother to Jessica and Lara, an International Board Certified Lactation Consultant (IBCLC), a physiotherapist, author of 'The Newborn Baby Manual' and an Australian Breastfeeding Association Counsellor. In her spare time, Renee enjoys spending time with family and friends, horse riding, running and reading.

This is a great article, but with regards to iron deficiency in infants it may be a good idea to think about delayed cord clamping at birth as this will increase iron stores in the baby. This will only take from 3 minutes.

Leave a Reply

Please note: in order to prevent spam and inappropriate language, all comments are moderated before they appear. We appreciate your patience awaiting approval. BellyBelly receives many comments every day, and we are unable to approve them all as soon as they are posted.

Your email address will not be published. Required fields are marked *

Comment

Name *

Email *

Connect with US

Our Contributors

Our writing team consists of professionals who work with pregnant and birthing women, as well as new parents, all year round. We're not just bloggers or journalists. We're industry professionals who love what we do!